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EP1374796A1 - Implant dentaire - Google Patents

Implant dentaire Download PDF

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Publication number
EP1374796A1
EP1374796A1 EP03013586A EP03013586A EP1374796A1 EP 1374796 A1 EP1374796 A1 EP 1374796A1 EP 03013586 A EP03013586 A EP 03013586A EP 03013586 A EP03013586 A EP 03013586A EP 1374796 A1 EP1374796 A1 EP 1374796A1
Authority
EP
European Patent Office
Prior art keywords
coronal
bone
implant
dental implant
thread
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP03013586A
Other languages
German (de)
English (en)
Other versions
EP1374796B1 (fr
Inventor
Alberto Martina
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SWEDEN and MARTINA SpA
Original Assignee
SWEDEN and MARTINA SpA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SWEDEN and MARTINA SpA filed Critical SWEDEN and MARTINA SpA
Publication of EP1374796A1 publication Critical patent/EP1374796A1/fr
Application granted granted Critical
Publication of EP1374796B1 publication Critical patent/EP1374796B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0022—Self-screwing

Definitions

  • This patent concerns dental implants and particularly an implant of novel design that facilitates the healing process and reduces the healing time.
  • the patent EP 438048 describes a dental implant comprising a fixture suitable for being inserted in the hole, divided into two or more parts, where each upper section has a larger diameter than the segment below it, the tip of the thread on the lower segment has the same diameter as the groove of the thread on the segment above it, and the various segments are the same length.
  • This solution does not involve a differentiated biological treatment in relation to the different tissues affected by the implant. Moreover, this solution does not require a particular distribution of the spaces in order to facilitate different contacts between clot and bone.
  • the patent EP 424734 describes a conical implant divided into two parts, each one provided with thread having different pitch, wherein the apical portion, particularly narrow, is suitable for being screwed into the lower cortical layer of the bone.
  • the patent US 5000686 describes a dental implant divided into two parts, a conical part in the winged portion and a cylindrical part in the apical portion, both provided with thread with constant pitch.
  • the aim of the invention is to facilitate a rapid healing and, at the same time, enable the perfect insertion of the fixture and its secure anchorage without causing trauma to the patient.
  • the new dental implant has a variable conical shape that makes it very similar to the roots of natural teeth.
  • the new implant can be divided into two segments or portions, i.e. coronal ( ⁇ ), medial ( ⁇ ) and apical ( ⁇ ), if any.
  • the first few millimeters of the coronal portion ( ⁇ ) have a cylindrical profile. These first few millimeters ( ⁇ 1) are characterized in that they are polished with a sinusoidal trend, the upper portions coincide with the buccal and palatal regions and the lower portions coincide with the medial and distal regions.
  • This profile is to follow the trend of the dental ridge, both during the insertion and in the subsequent phase of healing and functional and biological remodeling of the bone that is loaded.
  • this shape facilitates the achievement of the biological size that is essential to the physiology of the peri-implant soft tissues.
  • the straw yellow gold color of the surface on the polished neck has a favorable influence on the peri-implant tissues, optimizing the camouflage of the reconstruction.
  • the implant profile returns from conical to cylindrical in its cervical portion to help maintain greater thicknesses of both the bone and the soft tissues, and in the initial phase this facilitates contact with the clot. Having an adequate tissue thickness around the top of the implant (resembling that of the adjacent natural teeth as far as possible) favors its long-term stability.
  • This shape also facilitates the formation of a micro-gap between the implant bed and the fixture in the vicinity of the top of the implant.
  • This gap will make it easier for the space to be filled by the clot, thereby promoting a healing process that is better and also shorter, generally taking about two weeks less.
  • This insertion protocol reduces the amount of stress in the coronal area of the dental ridge (especially in the case of slender dental ridges) which can be one of the causes of resorption and recession.
  • Containing these areas of compression on the bone at the bone-implant interface reduces the surgical injury and increases the repair rate.
  • the medial portion ( ⁇ ) has a conical core and a tapered thread.
  • the thread is apical side cut at a 90° angle with respect to the long axis of the fixture.
  • the side facing towards the coronal region lies at a 45° angle to the central axis.
  • This portion of the thread improves the dissipation of the normal forces with respect to the tensile loads and also reduces the shadow area, a characteristic of which is that it reduces bone mineralization in the area it affects.
  • This segment is tapered, and the tapered thread characterizing the implant begins in this portion.
  • the implant will consequently be stabilized in the spongy tissue, using both the medullary structure underneath the coronal cortical portion, where it normally accounts for a greater percentage (buccolingual aspect), and the centro-coronal medullary portion of the bone structure being treated (mesiodistal aspect).
  • the concept is exactly the opposite of the bicortical implant stabilization concept.
  • the implant may present an apical portion ( ⁇ ) that comprises one or more parts provided with thread with cores whose alignment is parallel or divergent to the alignment of the ridges.
  • Said parts are conical or cylindrical, with the characteristic of being arranged alternately, so that each cylindrical part has conical parts at its sides and each conical part has cylindrical parts at its sides.
  • the thread is asymmetrical, with the apical side cut at a 90° angle to the long axis of the implant, while the side facing the coronal region is at a 45° angle to the central axis.
  • This particular, innovative portion of the thread improves the dissipation of the normal forces with respect to the tensile stresses and also reduces the shadow zone, a characteristic of which is that it reduces bone mineralization in the area it affects.
  • the apical portion is smaller than the more coronal parts because it has been unanimously acknowledged that the functional stress in osseo-integrated implants is concentrated in the top, dental ridge region.
  • This shape reduces the removal of spongy bone and simplifies the surgical technique, as well as adapting better to the anatomical shape of a toothless dental ridge in the vestibulo-lingual aspect and in the posterior sectors.
  • the aim of any difference between the profile of the tip or thread and the design of the core is to create a differentiated contact between the outer and inner surfaces of the turns.
  • the initial stabilizing contact between bone surface and implant produces an initial necrosis and a subsequent bone apposition.
  • the average healing time observed between the clot interface surface and the surgically-prepared bone interface surface is two weeks shorter.
  • the coronal aspect of the implant is characterized by a raised border that facilitates a precision interface with the abutment, also producing a clean cut of any introflected tissues.
  • the anchorage of the abutment to the implant is in the form of a large parallel-wall hexagonal coupling with a cylindrical portion apical to the hexagon that assures a greater stability in relation to lateral loads (increasing the form of retention and resistance).
  • angular abutments to correct the orientation of the profile at the top of the prosthetic element depends on the height of the implant-abutment connection screw, which is generally displaced several mm above the connection.
  • the buccal tilt of the abutments interferes with the blood flow to the fragile peri-implant tissues, often giving rise to dehiscence and recession.
  • connection screw (M) has been lowered, i.e. shifted apically (the more coronal portion of the screw coincides with the more coronal position of the implant).
  • the thread of the grooves also has an asymmetrical design, one side being at a 90° angle to the tangent and the other at a 45° angle.
  • the two clockwise-oriented grooves lend the implant a self-tapping form.
  • contact between the surface of the grooves and the clot facilitates the primary healing of the bone.

Landscapes

  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Dental Preparations (AREA)
  • Materials For Medical Uses (AREA)
  • Dental Prosthetics (AREA)
EP03013586A 2002-06-19 2003-06-14 Implant dentaire Expired - Lifetime EP1374796B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IT2002PD000165A ITPD20020165A1 (it) 2002-06-19 2002-06-19 Impianto dentale
ITPD20020165 2002-06-19

Publications (2)

Publication Number Publication Date
EP1374796A1 true EP1374796A1 (fr) 2004-01-02
EP1374796B1 EP1374796B1 (fr) 2007-05-02

Family

ID=29717160

Family Applications (1)

Application Number Title Priority Date Filing Date
EP03013586A Expired - Lifetime EP1374796B1 (fr) 2002-06-19 2003-06-14 Implant dentaire

Country Status (7)

Country Link
US (1) US20030235802A1 (fr)
EP (1) EP1374796B1 (fr)
AT (1) ATE361036T1 (fr)
DE (1) DE60313532T2 (fr)
ES (1) ES2286356T3 (fr)
IT (1) ITPD20020165A1 (fr)
PT (1) PT1374796E (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005117742A1 (fr) * 2004-06-04 2005-12-15 Stefan Neumeyer Implant dentaire
AT511387A1 (de) * 2011-04-20 2012-11-15 Redtenbacher Praez Steile Ges M B H Zahnprothese
ITUA20161638A1 (it) * 2016-03-14 2017-09-14 Sweden & Martina Spa Sistema migliorato di impianto dentale

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100491551B1 (ko) * 2004-01-06 2005-05-27 주식회사 내이 인공치아 시스템의 인공치근
US20120178048A1 (en) * 2011-01-11 2012-07-12 Cottrell Richard D Dental implant with multiple thread patterns
RU197985U1 (ru) * 2019-10-31 2020-06-10 Общество с ограниченной ответственностью "Мойе Керамик-Имплантате" Дентальный имплантат
RU197984U1 (ru) * 2019-12-11 2020-06-10 Общество с ограниченной ответственностью "Мойе Керамик-Имплантате" Дентальный имплантат
RU198743U1 (ru) * 2020-01-21 2020-07-24 Общество с ограниченной ответственностью "Мойе Керамик-Имплантате" Дентальный имплантат
RU200355U1 (ru) * 2020-02-26 2020-10-20 Общество с ограниченной ответственностью "Мойе Керамик-Имплантате" Дентальный имплантат

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5000686A (en) 1990-01-02 1991-03-19 Implant Innovations, Inc. Dental implant fixture
EP0424734A1 (fr) 1989-10-26 1991-05-02 Giuseppe Vrespa Dispositif à vis pour la fixation de prothèses aux os
EP0438048A1 (fr) 1990-01-15 1991-07-24 Friatec Aktiengesellschaft Keramik- und Kunststoffwerke Implant dentaire
US5427527A (en) * 1993-05-25 1995-06-27 Vent Plant Corporation Dental implant method of installation
WO2003059187A1 (fr) * 2002-01-16 2003-07-24 Jianping Geng Implant dentaire osteo-integre

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4713004A (en) * 1986-09-04 1987-12-15 Vent Plant Corporation Submergible screw-type dental implant and method of utilization
US6227859B1 (en) * 1997-05-24 2001-05-08 Franz Sutter Dental implant and device with a dental implant
US6217333B1 (en) * 2000-05-09 2001-04-17 Carlo Ercoli Dental implant for promoting reduced interpoximal resorption
US6402515B1 (en) * 2001-01-10 2002-06-11 Sulzer Dental Inc. Dental implant with variable profile thread

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0424734A1 (fr) 1989-10-26 1991-05-02 Giuseppe Vrespa Dispositif à vis pour la fixation de prothèses aux os
US5000686A (en) 1990-01-02 1991-03-19 Implant Innovations, Inc. Dental implant fixture
EP0438048A1 (fr) 1990-01-15 1991-07-24 Friatec Aktiengesellschaft Keramik- und Kunststoffwerke Implant dentaire
US5199873A (en) * 1990-01-15 1993-04-06 Friedrichsfeld Ag Keramik- Und Kunststoffwerke Dental implant
US5427527A (en) * 1993-05-25 1995-06-27 Vent Plant Corporation Dental implant method of installation
WO2003059187A1 (fr) * 2002-01-16 2003-07-24 Jianping Geng Implant dentaire osteo-integre

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005117742A1 (fr) * 2004-06-04 2005-12-15 Stefan Neumeyer Implant dentaire
AT511387A1 (de) * 2011-04-20 2012-11-15 Redtenbacher Praez Steile Ges M B H Zahnprothese
AT511387B1 (de) * 2011-04-20 2013-02-15 Redtenbacher Praez Steile Ges M B H Zahnprothese
US8951042B2 (en) 2011-04-20 2015-02-10 Redtenbacher Praezisionsteile Ges.M.B.H. Dental prosthesis
ITUA20161638A1 (it) * 2016-03-14 2017-09-14 Sweden & Martina Spa Sistema migliorato di impianto dentale

Also Published As

Publication number Publication date
ES2286356T3 (es) 2007-12-01
PT1374796E (pt) 2007-08-08
US20030235802A1 (en) 2003-12-25
ATE361036T1 (de) 2007-05-15
ITPD20020165A1 (it) 2003-12-19
DE60313532T2 (de) 2008-01-10
EP1374796B1 (fr) 2007-05-02
DE60313532D1 (de) 2007-06-14

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